Active NPI
Robert L Lareaux, DPM
- Podiatrist
- Kailua, HI
National Provider Identifier
1992867030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P088
- Practice address
- 407 Uluniu Street
Suite 107
Kailua, HI 96734-2530 - Phone
- (808) 266-0066
- Fax
- (808) 263-6004
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P088 | HI | Primary |
Addresses
Primary practice location
407 Uluniu Street
Suite 107
Kailua, HI 96734-2530
Mailing address
149 Mahealani PL
Kailua, HI 96734-2530
Phone (808) 221-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02487001 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P088 | HI | MD | Podiatrist |
Interoperability endpoints
- robert.lareaux@hawaiihie.medicity.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1992867030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 MAHEALANI PL",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342530",
"telephone_number": "808-221-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU STREET",
"address_2": "SUITE 107",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342530",
"telephone_number": "808-266-0066",
"fax_number": "808-263-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAREAUX",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "HI",
"license": "P088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02487001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.